| NPI | 1538831458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015519A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT35837) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-06-04 |